RSVP for Orthodontic Screening Event

Smiles Change Lives (SCL) will be holding a screening event for those children who’ve completed and submitted an application for the program. This is the next step in the process.

The event will be held on Saturday, April 6th 2019 from 10:00am to 2:00pm at two locations – Kirkwood, MO and O’Fallon, IL

Junction Orthodontics
209 S. Kirkwood Rd
Kirkwood, MO 63122

Olson Orthodontics
741 W State St Ste 2
O’Fallon, IL 62269

Please complete the following:

Select your preferred location*
- Junction Orthodontics in Kirkwood, MO
- Olson Orthodontics in O'Fallon, IL
*note: This is for your child's orthodontic screening only. This may or may not be the location assigned for treatment. That will be determined after the event.
Your Name*
First Last
Child's Name*
First Last
Your Email*
Mobile Phone Number*
Zip Code*
Comments/Questions

RSVP for Orthodontic Screening Event

CHANGING LIVES… ONE SMILE AT A TIME…

Alice W.

Alexandria W.

Tiffany L.

Daya G.

Judith W.

Alan P.

Joy S.

Shelly P.